Individual provider Active NPI

Karyna Valencia

  • Physical Therapist
  • Arlington, TX
National Provider Identifier
1619788247
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1392237 Issued in TX
Practice address
4907 S Collins St Ste 131
Arlington, TX 76018-1158
Phone
(817) 483-1746
NPI assigned
Jan 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1392237 TX Primary

Addresses

Primary practice location

4907 S Collins St Ste 131
Arlington, TX 76018-1158

Mailing address

6033 W I 20
Arlington, TX 76017-1042
Phone (817) 483-1746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1392237TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blacketer Enterprises, Inc Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Agape Physical Therapy Services, PC Physical Therapist PastSince Jan 19, 2025 Accepting new patients

Locations

6033 W Interstate 20
Arlington, TX 76017
Phone (817) 483-1746

4907 S Collins St
Ste 131
Arlington, TX 76018
Phone (817) 483-1746

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1619788247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 W I 20",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171042",
            "telephone_number": "817-483-1746",
            "fax_number": "817-483-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 S COLLINS ST STE 131",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181158",
            "telephone_number": "817-483-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "KARYNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1392237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.